Notification of Changes for Business Entity
General Information
Business Entity Name:	LIAZON CORPORATION
Incorporation / Formation Date:
FEIN:	20-8314151
Ohio License Number:
NPN:
DBA / Trade Name:
State of Domicile:	DE
County:	NEW CASTLE
Business Address
Address 1:	199 SCOTT STREET
Address 2:	SUITE 800
City:	BUFFALO
State:	NY
Zip:	14204
Phone:	7168036190
Fax:
Business Web Site Address:
Business Email Address:	ALYSSA@PATTONCOMPLIANCE.COM
Mailing Address
Address 1:	199 SCOTT STREET
Address 2:	SUITE 800
City:	BUFFALO
State:	NY
Zip:	14204
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	NO	New DBA/Trade Name:
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	YES

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date
THOMAS SCHOLTES	SECRETARY			YES	5/1/18
NEIL FALIS	SECRETARY		YES		5/1/18

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	ALYSSA GRANT
Title:	LICENSING ADMINISTRATOR
Phone Number:	8503230144
Email Address:	ALYSSA@PATTONCOMPLIANCE.COM